Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark A Blazek, MD

Individual provider Pediatrics Physician · NPI 1649240292

Mark A Blazek, MD is a Pediatrics Physician in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

670 Mall Dr
Portage, MI 49024-2878
Phone: (269) 327-1900
Fax: (269) 327-1564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MB041426 (MI)

Record details

NPI number1649240292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026
Mailing address670 Mall Dr, Portage, MI 49024-2878

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